Individual provider · Type 1 NPI

Kimberley Lyn Miller

Licensed Practical Nurse · Peru, IN

NPI number 1407541493 Active

Practice location

1496 W Hoosier Blvd
Peru, IN 46970-3727

Call (765) 472-8907 Map

Fax (765) 677-5175

Mailing address

319 Hammon St
Logansport, IN 46947-4642

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27053936A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1407541493

Kimberley Lyn Miller's National Provider Identifier is 1407541493, issued on Apr 6, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Peru, IN. The record was last updated on Apr 6, 2023.